Haggerty, Nicole

Haggerty, Nicole is an individual health care provider with primary practice located at 664 Dorchester Ave , South Boston MA 02127-3537. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Haggerty, Nicole can be contacted via phone (617) 524-4620.

Contact Information

Primary practice address
664 Dorchester Ave South Boston MA 02127-3537
Phone: (617) 524-4620
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1629236856
LBN Legal business name Haggerty, Nicole
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2008
Last updated Feb 20th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629236856 NPPES
Massachusetts MEDICAID 1301420

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